DR. DANIEL JOHN LEGAULT MD
NPI 1649204892
Internal Medicine - Nephrology in Grand Rapids, MI

Q: What is Daniel Legault's NPI number?

The NPI number for Daniel Legault is 1649204892. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Q: What is Daniel Legault's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Daniel Legault was last updated on October 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 11, 2006PECOS EnrolledAccepts Medicare Assignment

330 E BELTLINE AVE NE, SUITE 100, GRAND RAPIDS, MI 49506(616) 752-6235(616) 752-6324 Get Directions Write a Review

NPPES record last updated: October 29, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Daniel John Legault Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DANIEL JOHN LEGAULT MD (NPI 1649204892) is an individual nephrology provider in Grand Rapids, Michigan, licensed in Michigan (DL056685) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of University Of Michigan Medical School (1987).

NPPES Registry Identity

NPI1649204892

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameDR. DANIEL JOHN LEGAULTCredential: MD

Location Address330 E BELTLINE AVE NE, SUITE 100Grand Rapids, MI 49506-1267

Mailing Address330 E Beltline Ave Ne, Suite 100Grand Rapids, MI 49506-1267 · (616) 752-6235 · Fax (616) 752-6324

Phone(616) 752-6235

Fax(616) 752-6324

Sole ProprietorYes

Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1987

Enumeration DateJuly 11, 2006

Last NPPES UpdateOctober 29, 2021

NPPES CertifiedOctober 29, 2021

✔ NPI 1649204892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in MI · DL056685

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

330 E BELTLINE AVE NE, Grand Rapids, MI 49506

Open in Google Maps ↗

Other Identifiers 1

Medicaid3410503MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Daniel John Legault Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870564107

PECOS Enrollment IDI20040802001075

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Daniel Legault reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Renal Associates Of West Michigan PC

Same address

Nephrology

330 E BELTLINE AVE NE, SUITE 100
Grand Rapids, MI 49506

Reassigned Medicare billing, Michigan enrollment
28 clinicians in this Medicare group

NPI 1871674200 (616) 752-6235

Spectrum Health Primary Care Partners

2.0 mi

Internal Medicine

1840 WEALTHY ST SE
Grand Rapids, MI 49506

Reassigned Medicare billing, Michigan enrollment
2,446 clinicians in this Medicare group

NPI 1235188673 (616) 486-6793

Saint Mary's Health Services

3.8 mi

Geriatric Medicine

200 JEFFERSON AVE SE
Grand Rapids, MI 49503

Reassigned Medicare billing, Michigan enrollment
42 clinicians in this Medicare group

NPI 1063917425 (616) 776-0682

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

171 services104 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

157 services64 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

81 services71 patients

Hemodialysis procedure with physician evaluation 90935

Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.

65 services43 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

62 services50 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

55 services53 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

27 services27 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

23 services23 patients

Dialysis procedure including 1 evaluation 90945

Dialysis is a treatment that filters and purifies the blood when your kidneys can't do their job. The procedure involves circulating your blood through a machine that removes waste products. An evaluation is done beforehand to assess your health and determine the best approach for your treatment.

19 services11 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

14 services14 patients

Dialysis services, 4 or more physician visits per month (20 years or older) 90960

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.

12 services12 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230038

Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County

Emergency services Birthing friendly

Mercy Health Saint Mary's

Acute Care Hospitals · Grand Rapids, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number230059

Location200 Jefferson Avenue SEGrand Rapids, MI 49503 · Kent County

Emergency services Birthing friendly

Trinity Health Muskegon Hospital

Acute Care Hospitals · Muskegon, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230066

Location1500 E Sherman BlvdMuskegon, MI 49441 · Muskegon County

Emergency services Birthing friendly

Munson Healthcare Cadillac Hospital

Acute Care Hospitals · Cadillac, MI

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number230081

Location400 Hobart StCadillac, MI 49601 · Wexford County

Emergency services Birthing friendly

University Of Michigan Health - West

Acute Care Hospitals · Wyoming, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230236

Location5900 Byron Center Avenue, SWWyoming, MI 49519 · Kent County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49506 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$126.15 typical visit price

range $54.34 – $166.68

Typical copayment $31.53 (range $13.58 – $41.67)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg J7503

Treatment-Chemotherapy · category RH002N

2 suppliers14 claims5,880 services$1.13 avg. paid by Medicare

Tacrolimus, immediate release, oral, 1 mg J7507

Treatment-Treatment - Miscellaneous · category RX029N

18 suppliers169 claims16,771 services$0.29 avg. paid by Medicare

Prednisone, immediate release or delayed release, oral, 1 mg J7512

Treatment-Treatment - Miscellaneous · category RX029N

4 suppliers34 claims6,620 services$0.01 avg. paid by Medicare

Mycophenolate mofetil, oral, 250 mg J7517

Treatment-Treatment - Miscellaneous · category RX029N

9 suppliers99 claims13,950 services$0.18 avg. paid by Medicare

Mycophenolic acid, oral, 180 mg J7518

Treatment-Treatment - Miscellaneous · category RX029N

10 suppliers122 claims17,400 services$0.95 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511

Treatment-Chemotherapy · category RH012N

24 suppliers230 claims230 services$17.84 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RAMANDEEP SINGH BANGA M.D.

Internal Medicine (Nephrology)

330 E BELTLINE AVE NE, SUITE 100
GRAND RAPIDS, MI 49506

Kent County (616) 752-6235

DR. MICHAEL J UNRUH M.D.

Internal Medicine (Nephrology)

330 E BELTLINE AVE NE, SUITE 100
GRAND RAPIDS, MI 49506

Kent County (616) 752-6235

DR. ALBERTA ANN GARBACCIO MD

Internal Medicine (Nephrology)

330 E BELTLINE AVE NE, SUITE 100
GRAND RAPIDS, MI 49506

Kent County (616) 752-6235

BOWAN DIALYSIS LLC

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)

330 E BELTLINE AVE NE, STE 210
GRAND RAPIDS, MI 49506

Kent County (616) 285-7081

DR. BONITA A. MOHAMED MD, MA

Internal Medicine (Nephrology)

330 E BELTLINE AVE NE
GRAND RAPIDS, MI 49506

Kent County (616) 752-6235

DR. RONALD MICHAEL HOFMANN MD

Internal Medicine (Nephrology)

330 E BELTLINE AVE NE, SUITE 100
GRAND RAPIDS, MI 49506

Kent County (616) 752-6235

DR. PHILIP GOUSHAW MD

Internal Medicine (Nephrology)

330 E BELTLINE AVE NE, SUITE 100
GRAND RAPIDS, MI 49506

Kent County (616) 752-6235

DR. KSENIYA VLADIMI FILIPPOVA MD

Internal Medicine (Nephrology)

330 E BELTLINE AVE NE, SUITE 100
GRAND RAPIDS, MI 49506

Kent County (616) 752-6235

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Daniel Legault's NPI number?

The NPI number for Daniel Legault is 1649204892. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is Daniel Legault located?

Daniel Legault practices at 330 E Beltline Ave NE Suite 100, Grand Rapids, MI 49506. The listed phone number is (616) 752-6235.

What is Daniel Legault's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Daniel Legault enrolled in Medicare?

Yes. Daniel Legault is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Daniel Legault's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daniel Legault reassigns Medicare benefits to 3 organizations: Renal Associates Of West Michigan PC (Grand Rapids, MI), Spectrum Health Primary Care Partners (Grand Rapids, MI) and Saint Mary's Health Services (Grand Rapids, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Daniel Legault's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Daniel Legault accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Daniel Legault as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Daniel Legault affiliated with any hospitals?

According to CMS data, Daniel Legault is affiliated with Spectrum Health, Mercy Health Saint Mary's, Trinity Health Muskegon Hospital, Munson Healthcare Cadillac Hospital and University Of Michigan Health - West.

When was this NPI record last updated?

The NPPES record for Daniel Legault was last updated on October 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.